title: Technology-mediated therapy for chronic pain management: the challenges of adapting behavior change interventions for delivery with pervasive communication technology.
abstract: OBJECTIVE
  Adapting therapeutic practice from traditional face-to-face exchange to remote technology-based delivery presents challenges for the therapist, patient, and technical writer. This article documents the process of therapy adaptation and the resultant specification for the SMART2 project-a technology-based self-management system for assisting long-term health conditions, including chronic pain.
  
  
  METHODS
  Focus group discussions with healthcare professionals and patients were conducted to inform selection of therapeutic objectives and appropriate technology.
  
  
  RESULTS
  Pertinent challenges are identified, relating to (1) reduction and definition of therapeutic objectives, and (2) how to approach adaptation of therapy to a form suited to technology delivery. The requirement of the system to provide dynamic and intelligent responses to patient experience and behavior is also emphasized.
  
  
  CONCLUSIONS
  Solutions to these challenges are described in the context of the SMART2 technology-based intervention. More explicit discussion and documentation of therapy adaptation to technology-based delivery within the literature is encouraged.
authors.affiliation: Centre for Pain Research, The University of Bath, Bath, United Kingdom.
authors.forename: Benjamin A
authors.initials: BA
authors.lastname: Rosser
authors.forename: Paul
authors.initials: P
authors.lastname: McCullagh
authors.forename: Richard
authors.initials: R
authors.lastname: Davies
authors.forename: Gail A
authors.initials: GA
authors.lastname: Mountain
authors.forename: Lance
authors.initials: L
authors.lastname: McCracken
authors.forename: Christopher
authors.initials: C
authors.lastname: Eccleston
mesh_terms: D001521:Behavior Therapy / Q000379:methods*; D002908:Chronic Disease; D017144:Focus Groups; D006801:Humans; D010146:Pain / Q000523:psychology; D059408:Pain Management; D012648:Self Care; D017216:Telemedicine / Q000379:methods*